Noninvasive ventilation (NIV) delivered by helmet (Sea-Long Medical Systems Inc.) significantly reduced the intubation rate compared with NIV delivered through an oronasal face mask in patients with acute respiratory distress syndrome (ARDS). According to the results from this randomized controlled trial published in JAMA (2016;315:2435-2441), patients who used the helmet also had more ventilator-free days and significantly […]
Read MoreClinicians using programmable, or smart, syringe pumps should take precautions against mishaps that can occur at low infusion rates of high-risk, life-sustaining therapies, such as those at less than 5 mL per hour, and especially those at less than 0.5 mL per hour, the US Food and Drug Administration (FDA) announced today. Programmable syringe pumps […]
Read MoreWhat Do We (Really) Know About It? Matthias W. Koenig, MD Associate Professor of Pediatrics Eastern Virginia Medical School Children’s Hospital of the King’s Daughters Children’s Specialty Group, Pediatric Anesthesia Division Norfolk, Virginia Vincent J. Kopp, MD Emeritus Professor Division of Pediatric Anesthesia Department of Anesthesiology University of North Carolina at Chapel Hill School of […]
Read MoreAuthors: Marc Labetoulle et al Br J Ophthalmol. 2016;100(7):976-985. Background/aims To compare the efficacy and safety of intracameral (IC) administration at the beginning of cataract surgery, of Mydrane, a standardised ophthalmic combination of tropicamide 0.02%, phenylephrine 0.31% and lidocaine 1%, to a standard topical regimen. Methods In this international phase III, prospective, randomised study, the selected eye of […]
Read MoreAs “awake” surgical procedures become more common, surgeons increasingly find themselves in the potentially awkward position of being overheard by patients. A new study suggests that surgeons who work with awake patients are very aware that the patients are listening, and are thus careful to limit their communication with trainees and staff. These patient safeguards […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 758–761 AUTHORS: Gabriel, Rodney A. MD et al The interscalene block (ISB) is a common adjunct to general anesthesia for total shoulder arthroplasty (TSA). The aim of the study was to report the current national demographics of the patients who are receiving […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 749–757 AUTHORS: Turan, Alparslan MD et al BACKGROUND: Clonidine is an α2-adrenoceptor agonist, which has analgesic properties. However, the analgesic efficacy of perioperative clonidine remains unclear. We, therefore, tested the hypothesis that clonidine reduces both pain scores and cumulative opioid consumption during […]
Read MoreAnesthesia & Analgesia: September 2016 – Volume 123 – Issue 3 – p 684–689 AUTHORS: Zaphiratos, Valerie MD, MSc BACKGROUND: Combined spinal-epidural (CSE) analgesia is widely used for delivering labor analgesia. Epidural volume extension (EVE) involves the injection of fluid into the epidural space compressing the dural sac, causing cephalad shift of the cerebral spinal […]
Read MoreClark W et al. Lancet 2016 Aug 17. Hirsch JA and Chandra RV. Lancet 2016 Aug 17. The procedure benefitted some highly selected patients when performed a few weeks after vertebral fracture. Vertebroplasty is injection of polymethylmethacrylate “cement” into a fractured vertebral body to reduce pain and disability. The popularity of this procedure declined after 2009, when two randomized, sham-controlled […]
Read MoreResearchers have determined that patients who have not had an opioid prescription within 1 year prior to their procedure are at low risk of developing persistent opioid use after major surgery. The research, published online by JAMA Surgery, showed that of the 39,140 observed patients only 0.4% (~1 in every 225 patients) continued to receive ongoing […]
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